New Delhi, Nov 13: Twenty-three-year-old Rahul (name changed) faced an unusual problem. He used to suffer dizziness, anxiety and regular headaches every time after having a meal.
When the problem persisted, he decided to see a doctor and on investigation it was found that the root of the problem was an unusual condition where the blood sugar level drops after a meal instead of rising as is the norm.
Rahul was diagnosed with a relatively uncommon condition called reactive hypoglycemia, or postprandial hypoglycemia, which happens due to excess insulin secretion after a meal.
"The family history of diabetes could have been the reason for the excess insulin secretion," Ajay Kumar Ajmani, Senior Consultant, Endocrinology, BLK Super Speciality Hospital here, told IANS.
Although extreme cases of reactive hypoglycemia are very rare, doctors say that people with insulin resistance and those who are overweight or obese are vulnerable to this condition.
Insulin resistance is a risk factor for the development of Type-2 diabetes, which is increasing in epidemic proportions worldwide -- and more so in India.
Postprandial hypoglycemia occurs when too much insulin is produced and released by the pancreas following a large carbohydrate-based meal.
"Reactive hypoglycemia refers to low blood sugar that occurs after a meal -- usually within four hours after eating. This is different from low blood sugar (hypoglycemia) that occurs while fasting," Subhash Kumar Wangnoo, Senior Consultant Endocrinologist and Diabetologist at the capital's Indraprastha Apollo Hospital, told IANS.
"People who have undergone bariatric surgery (for weight loss) are also more likely to get reactive hypoglycaemia," Wangnoo noted. "In those who have undergone bariatric surgery, the food can pass too quickly into the small intestine (dumping syndrome). As a result, the glucose in food is not absorbed resulting in hypoglycaemia.
"Also an uncommon complication of bariatric surgery is nesidioblastosis -- a condition in which the insulin producing cells of the pancreas undergo hyperplasia, resulting in excess insulin production that can cause reactive hypoglycaemia," Wangnoo explained.
Signs and symptoms of reactive hypoglycemia include hunger, weakness, shakiness, sleepiness, sweating, light-headedness, headache, palpitations, irritability and anxiety.
"Increasing use of carbohydrates and fats and processed foods, along with reduced physical activity, are the underlying factors leading to the increasing prevalence of these conditions," Wangnoo said.
A study published in the journal Diabetologia detailed the history of three patients who did not have diabetes but who suffered so much from severe hypoglycemia following meals that they became confused and sometimes blacked out.
Following weight loss surgery, all three patients -- a woman in her 20s, another in her 60s and a man in his 40s - developed postprandial hypoglycemia that failed to respond to dietary or medical intervention.
The immediate cause of hypoglycemia was exceptionally high levels of insulin following meals. All three patients in the study failed to respond to medication and ultimately required partial or complete removal of the pancreas, the major source of insulin, to prevent dangerous declines in blood glucose.
Thankfully, most cases of postprandial hypoglycemia can be managed by simple modifications in the diet, according to the doctors.
After monitoring blood glucose levels hourly before and after a meal, Rahul's diet too was modified.
"Rahul takes small meals every four hours, exercises daily in the morning and his blood sugar level does not dip below 80 mg/dL. After two months, he seemed to have got rid of the symptoms he used to complain of," Ajmani said.
"Dietary modification with controlled carbohydrate content has been demonstrated to improve symptoms of postprandial hypoglycemia in bariatric surgery-associated hypoglycemia, dumping syndrome, insulin autoimmunity, and postprandial syndrome," Manoj Kumar, Consultant, Endocrinology Department, Jaypee Hospital, Noida, noted.
The doctors advised that patients diagnosed with the condition should have a balanced diet -- high-fibre foods, non-meat source of protein, whole grains, fruits and vegetables. They should also avoid sugary food on an empty stomach.
"Avoid sugary soft drinks and eat several small meals and snacks throughout the day, no more than three hours apart during the waking hours," Ajmani said.
Patients with reactive hypoglycaemia should be screened for diabetes or later development of diabetes as they might be having prediabetes, Wangnoo pointed out.
Mumbai, Aug 16: Bollywood Actress Priyanka Chopra and Nick Jonas fans, get on to social media now and thank Raveena Tandon. For, it was due to Raveena that the world got its first good look at Priyank ..Written by : IANS | 04:02 PM
Hyderabad, Aug 16: Tollywood Crazy Star Hero Vijay Deverakonda's Geetha Govindam has become a sensational hit at the box office with a positive word of mouth and rave reviews showered on the first day ..Written by : IANS | 03:05 PM
Tripura, Aug 16: Governor of Tripura Tathagata Roy made a major faux-pas Thursday by announcing on Twitter that former Prime Minister Atal Behari Vajpayee had passed away. The tweet went viral on soci ..Written by : IANS | 01:41 PM
Mumbai, Aug 16: President Ramnath Kovind and Prime Minister Narendra Modi have joined the Indian cricketing fraternity in offering tributes to former captain Ajit Wadekar, who died on Wednesday. A ..Written by : IANS | 12:30 PM
Mumbai, Aug 16: Former India cricket captain Ajit Wadekar, who led the team to path-breaking Test wins in England and the West Indies, passed away today after prolonged illness. He was 77 and is su ..Written by : IANS | 12:28 PM
New Delhi, Aug 16: In the latest update, Former Prime Minister Atal Bihari Vajpayee's condition continues to be critical on Thursday as a bulletin is expected shortly from the AIIMS where he has been ..Written by : IANS | 12:03 PM
Kerala, Aug 16: In the latest update, The rains still pouring down heavily leading to flooding across Kerala, 12 fresh deaths were reported on Thursday, taking the toll to 79, since August 8. More rai ..Written by : IANS | 11:52 AM
Hyderabad, Aug 15: Tollywood Small film 'C/o Kancharapalem' has garnered a lot of attention after Rana Daggubati associated with it. The theatrical trailer has been released today and it promises ..Written by : IANS | 07:39 PM
Hyderabad, April 12: Nagarjuna's song "Ninnu Roddu Meeda Chusnadi Laggayithu" one of the most popular songs in 1990's. The Song has got a tremendous response in that time. The SOng was super hit film ..Written by : IANS | 05:04 PM
Hyderabad, Apr 10: Preparations related to NTR Rama Rao biopic are ongoing. Bala Krishna is playing the role of NT Rama Rao while the rest of the cast has to be finalized. The selection process for th ..Written by : IANS | 02:13 PM
Hyderabad, Apr 03: Power star Pawan Kalyan has congratulated on the hit of Rangasthalam team here on today. Pawan spoke to Charan after watching "Rangasthalam" on the special screen, he told that h ..Written by : IANS | 04:47 PM
Hyderabad, Mar 26: The Tollywood Gorgeous actress Anushka Shetty had a fabulous start to 2018 with the solid success of Bhaagamathie. Although there have been several rumors on her future projects ..Written by : IANS | 03:04 PM
New Delhi, Aug 16: We already knew that The A ..
Hyderabad, Aug 16: AS we knew that, Kerala St ..
Tripura, Aug 16: Governor of Tripura Tathagat ..
Mumbai, Aug 16: President Ramnath Kovind and ..
New Delhi, Aug 16: In the latest update, Form ..
Kerala, Aug 16: In the latest update, The rai ..
New Delhi, Aug 16: The Former prime minister ..
New Delhi, Aug 15: PM Modi also announced sev ..
Lucknow, Aug 15: In a tragic incident, Four ..
New Delhi, Aug 15: Prime Minister Narendra M ..
Rome, Aug 15: In a ghastly incident, Italy's ..
Islamabad, Aug 14: People all across Pakistan ..
Pakistan, Aug 13: In a good news, Pakistan on ..
Indonesia, Aug 12: In a tragic incident, A 1 ..
Florida, Aug 12: Nasa's much-anticipated 'Pa ..
Mexico, Aug 11: Nowadays people criticise whe ..
Washington, Aug 08: In a shocking news, Over ..
Indonesia, Aug In a tragic incident, At least ..
New York, Aug 06: An Indian man in the US has ..
Indonesia, Aug 05: In a ghastly incident, A s ..
Mumbai, Aug 16: Former India cricket captain ..
New Delhi, Aug 14: Team India has lost two te ..
London, Aug 14: British Team England has been ..
London, Aug 13: England wicket-keeper batsman ..
Hyderabad, Aug 13: England demolished India b ..
London, Aug 13: We all knew that, India suffe ..
London, Aug 13: England bowled out India for ..
Team England Declared thier first Innings at ..
London, Aug 12: England rode on and Chris Woa ..
London, Aug 11: Team India Collapsed to 107/1 ..
New Delhi, Aug 15: In a good news for Jio use ..
New Delhi, Aug 13: We all knew that, the fort ..
Hyderabad, Aug 13: Here is the good news for ..
New Delhi, Aug 11: State-owned telecom operat ..
New Delhi, Aug 1: The giant electronics compa ..
New Delhi, Aug 09: Here is good news for smar ..
New Delhi, Aug 08: With the Indian government ..
New Delhi, Aug 08: In a good news for smartph ..
New Delhi, Aug 06: The Telecom giant Bharti A ..
New Delhi, Aug 06: Honor is now the fifth-lar ..